Kent Alan Fry, PA-C
Physician Assistant, Surgical in Mount Vernon, WA. Individual provider (NPI-1).
NPI number1013217751
StatusActive
Last updated in NPPESSep 4, 2020
Details
- NPI
- 1013217751
- Entity type
- Individual (NPI-1)
- Name
- Kent Alan Fry
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 28, 2010
- Certification date
- Sep 4, 2020
- Last updated
- Sep 4, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | PA60188670 | WA | Yes |
| 363A00000X | Physician Assistant | PA60188670 | WA | |
| 363A00000X | Physician Assistant | PA158179 | OR | |
| 363AM0700X | Physician Assistant, Medical | PA60188670 | WA | |
| 363AM0700X | Physician Assistant, Medical | 0796 | SD |
Practice location
2320 Freeway DriveSkagit Regional Clinics - Riverbend Orthopedics
Mount Vernon, WA 98273
Phone 360-814-6800 · Fax 360-814-6917
Mailing address
1400 E. Kincaid StreetAttn: Credentialing
Mount Vernon, WA 98274-4127
Phone 360-428-2500 · Fax 360-428-6485
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Surgical Physician Assistant providers in Mount Vernon, WA
- Carlos Aguero, P.A.NPI 1598707218
- Steven Benjamin Alcocer, PA-CNPI 1891014502
- Aleisha S Allen, PA-CNPI 1700520087
- Ella Maria ArneyNPI 1346038445
- Jenna Beh, PA-CNPI 1346273083
- Alexandra M Braymen, PA-CNPI 1154191575
- Deborah J Browne, PA-CNPI 1467487355
- Christina Clark, PA-CNPI 1386262830
- Ciera A. Cline, PA-CNPI 1639950397
- Caryn Anne Clippert, PA-CNPI 1528484490
All 35 Surgical Physician Assistant providers in Mount Vernon · All 1,851 providers in Mount Vernon
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.